Phyllis Marie Mort, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006053-1 Issued in NY

Practice address

667 Route 292
Holmes, NY 12531-5342

Phone

(914) 282-8493

NPI assigned

Jan 26, 2019

Last updated

Jan 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1205390986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 ROUTE 292",
            "city": "HOLMES",
            "state": "NY",
            "postal_code": "125315342",
            "telephone_number": "914-282-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 ROUTE 292",
            "city": "HOLMES",
            "state": "NY",
            "postal_code": "125315342",
            "telephone_number": "914-282-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORT",
        "first_name": "PHYLLIS",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006053-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramza Shahid Malik, DO
• Nancy J Matteo, LPN
• Robin Marie Meyers
• Zane A Miranda, MD
• Karen Julia Montagna, TSHH, MLS
• Barbara Marie O'Rourke, MA, CCC-SLP
• Denise Fabiola Orellana, M.D.
• Luz Faviola Orellana, MS.ED
• Wilfred Orellana, MS.ED
• Susan Owen Langley, LCSW

• Acupuncturist in Holmes, NY
• Providers in Holmes, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.